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Individual
DENNIS C. LOPEZ
Active
Individual
DENNIS C. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0106851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079904
GHI
—
01
—
10034488
CDPHP
—
01
—
1359759
UNITEDHEALTHCARE
—
01
—
327283
MVP
—
01
—
4409619
AETNA
—
01
—
7004008
CIGNA
—
01
—
812481
MPN
—
01
—
Q75821
BLUE CROSS BLUE SHIELD
—
01
—
Q7582QBII1
MEDICARE UNSPECIFIED
NY
Enumeration date
05/12/2006
Last updated
03/26/2008
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